MICHAEL R VANDE ZANDE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037288

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

VANDE ZANDE

Business Name

MICHAEL R VANDE ZANDE

Original Issue Date

12/20/1988

Effective Date

12/20/1988

Expiration Date

03/31/2004

City

LA CROSSE

State

Zip

54623

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/28/2011

Case Number

2011005139

Action

Refuse To Renew

Discipline Start Date

12/28/2011